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Dr. Nicholas Barrett Bodenheimer, DO
Obstetrics & Gynecology Physician in Bolivia, North Carolina
NPI 1457642134

Nicholas Barrett Bodenheimer is a Obstetrics & Gynecology Physician based in Charlotte, NC. Nicholas Barrett Bodenheimer practices in Bolivia, NC and has the professional credentials of DO. The NPI Number for Nicholas Barrett Bodenheimer is 1457642134 and holds a License No. (North Carolina).

The current practice location address for Nicholas Barrett Bodenheimer is 584 Hospital Drive, Bolivia, NC and can be reached out via phone at 910-721-4050 and via fax at 910-721-4051.

Location: 584 Hospital Drive, Bolivia, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457642134
Provider Name
Nicholas Barrett Bodenheimer
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
584 Hospital Drive, Bolivia, NC, 28260-0447
Phone Number
910-721-4050
Fax Number
910-721-4051
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
584 Hospital Drive
City
Bolivia
State
North Carolina
Zip
28422-9047
Phone Number
910-721-4050
Fax Number
910-721-4051
person
Provider Business Mailing Address Details
Address
584 Hospital Drive
City
Bolivia
State
North Carolina
Zip
28422-9047
Phone Number
910-721-4050
Fax Number
910-721-4051
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
201500279 (North Carolina)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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